Psoriatic arthritis patient with large knee effusion
Psoriatic Arthritis Treatment
Psoriatic Arthritis Medication
:Over-the-counter (OTC) or prescription nonsteroidal anti-inflammatory drugs (NSAIDs) such as and can ease pain and inflammation associated with psoriatic arthritis.
Side effects of regular NSAID use may include an irritated stomach, heart problems, and kidney or liver damage.
Disease-modifying antirheumatic drugs (DMARDs):These drugs work to prevent the progression of psoriatic arthritis and can prevent permanent damage of your joints and other tissues.
DMARDs include such drugs as:
Side effects of DMARDs may include liver damage, bone marrow suppression, and severe lung infections.
Immunosuppressants:These medications suppress your immune system, which is overactive in psoriatic arthritis.
Your doctor may prescribe azathioprine (Imuran, Azasan) or cyclosporine (Gengraf, Neoral, Sandimmune).
These medications can make it more likely you will get another type of infection, so it's important to be vigilant about your health while taking this type of drug.
TNF-alpha inhibitors:Tumor necrosis factor-alpha (TNF-alpha) is an inflammatory substance that your body makes.
TNF-alpha inhibitors can help ease pain, stiffness in the morning, and tender or swollen joints.
Examples of TNF-alpha inhibitors include:
Side effects may include nausea, diarrhea, hair loss, and an increased risk of serious infections.
Steroid injections:An injection directly into the affected joint can help reduce inflammation and pain quickly.
Joint Replacement Surgery
If joint damage from psoriatic arthritis is severely affecting your quality of life, you may need to replace a damaged joint with an artificial one.
Less than 10 percent of people with psoriatic arthritis will probably need surgery to treat joint damage, according to a 2012 study published in the Journal of the American Academy of Orthopaedic Surgeons.
Researchers found that hand surgery for psoriatic arthritis is the most common type performed.
In addition to medications, there are lifestyle changes that may ease your symptoms:
Maintain a healthy weight:Being overweight or obese puts added pressure and stress on your joints.
Exercise regularly:Exercising helps to keep your joints strong and flexible.
Walking, bike riding and swimming are all beneficial to your joints without adding additional pressure.
Yoga can help keep your joints limber.
Protect your joints:Take strides to ensure you aren't overtaxing your joints.
For example, don't lift a grocery bag with a few fingers — instead, use your whole hand. Don't open a door by pushing with your hand, use your entire body weight.
Don't overextend yourself:It can be frustrating, but fatigue goes hand in hand with psoriatic arthritis.
Don't stop being active entirely, but pace yourself by breaking activities down into 10 to 15 minute blocks of time.
Use hot or cold packs:When your joints start to ache, treatment with an ice pack or a hot pad can help to reduce the pain naturally.
Video: New Therapies for Effectively Treating Psoriatic Arthritis
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